NPI | 1790107332 |
---|---|
Former Name | DAYNA JOYCE SEBOURN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0222X Nurse Practitioner Pediatrics, Critical Care (Licence: OK R0083951) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: OK R0083951) |
Enumeration Date | 2014-01-16 |
Last Update Date | 2014-02-10 |